Professional Experience Summary

• Confidential is a Program Manager with brings more than 17 years of management and IT consulting experience for complex projects.
• Specializes in commercial and government healthcare administration, program management, healthcare claims/benefits processing, provider reimbursement, workflow management, HIPAA privacy and security, civilian and military healthcare data analysis using TRICARE and Veterans Affairs data and supporting databases
• Strong Business analysis, software testing and project management skills
• Erica is a peer reviewed published author on woman's healthcare within the Department of Defense and have written and spoken on issues related to hospice palliative care.
• Organized and goal oriented with the ability to maintain continuous alignment of project/program scope with strategic business objectives.
• Analytical problem solver with the ability to anticipate issues and develop new or improve existing software / systems that streamline operations, resolve client/customer concerns and improve efficiency.
• Effective Leader skilled in building strong relationships with Top Management, Clients and Team members delegates effectively, organize and motivate team members to achieve project deliverables on-time.
• 14 years of experience in business Analysis within various verticals such as healthcare, life sciences, commercial, Department of Veterans Affairs VA and Department of Defense DoD , Centers for Medicare and Medicaid Services
• Experience includes interpretation of customers' business needs, translating them into business, functional, and operational requirements, software testing SAQ, UAT, Smoke testing, regression testing, black box, white box, etc.
• Extensive experience in all phases of the Software Development Life Cycle SDLC from concept formation to deployment roll-out including requirements gathering and documenting, developing business process flows, business analysis, design, testing, training and deployment
• Strong knowledge of software engineering methodologies such as Waterfall, RUP, Incremental, Spiral, Agile/SCRUM.
• Possess strong business, leadership, analytical, problem solving and decision making skills excellent verbal and written communication skills with the ability to interact professionally with a diverse group of executives, managers, and subject matter experts.

Presentations and Publications

• Harriott EM, Williams TV, Peterson MR. Childbearing in Military Hospitals: Dimensions of
• care affecting woman's perception of quality and satisfaction. Birth 2005 March .
• The Compendium of Pediatric Palliative Care: Professional Development and Resource Series.
• By the National Hospice and Palliative Care Organization, 2003. Erica Harriott, Research and Education Manager.
• National Hospice and Palliative Care Organization, Hospice Fact and Figures 2002.
• Harriott, E.: Hospice Outcome Measures: Performance measures testing for Safe Comfortable Dying, Self-Determined Life Closure, and Effective Grieving. Poster. National Hospice and Palliative Care Organization Third Joint Clinical Conference. Orlando, FL, 2001.
• National Hospice and Palliative Care Organization, Hospice Fact and Figures 2001.
• National Hospice and Palliative Care Organization, Hospice Fact and Figures 2000.

Technical Skills

• Platforms: Windows XP/ 2000
• Electronic Data Interchange: HL7
• Methodologies: RUP, Agile, Waterfall
• Testing/Requirement Tools: Mercury Test Director, IBM Rational Tool Jazz Platform Rational ClearQuest, RequsitePro, Rational ClearCase, Rational Requirements Composer, Rational Team Concert , Borland CaliberRM, Borland StarTeam, Borland Together, TOAD
• Programming Languages: SQL
• Office Tools: MS Office Tools
• Business Modeling Tools: Microsoft Visio, CaseWise, Dreamweaver
• Version Control Systems: Harvest, SharePoint
• Database: MS SQL Server, MS Access, DEERS, Diamond, FACETS, ODAR, VISTA, MPI
• Analysis Software: Business Objects, SAS, SPSS, Minitab, Crystal Reports
• Earn Value Management Primavera

EXPERIENCE

Adeptus Solutions Project Manager

Confidential

• Supported day-to-day sourcing and procurement for multiple simultaneous contracts for Information Technology services.
• Implement the strategic goals and objectives of Adeptus Solutions by giving direction and leadership towards the achievement of the organization's philosophy, mission, strategy, and its annual goals and objectives. Performs various tasks and duties in support of the operations of Adeptus Solutions, Inc.
• Increase brand awareness by bringing in new customers, and coordinating public relations efforts
• Lead business development efforts and proposal management
• Adeptus Solutions Requirements Project

Confidential

• Management Support PMO Major Initiative 2. The goal of VBMS is to produce an enterprise-level outpatient claims processing application that manages veterans medical and pension claims processing.
• Produce and maintain Business Requirements Definition and Requirement Analysis Documents.
• Using an agile process methodology - manage the quality control of documents created to improve program management such as Plan and Process Documents and Requirements Specification Document, Business Requirements Document, Requirements Traceability Matrix, Requirements Dashboards specific to VBMS PMO Support and portal development efforts compliant with PMAS.
• Assign and monitor work assignment to multiple team members on multiple projects.
• Present weekly status update of development milestone and status to the Office of Information and Technology OI T and Veterans Benefits Administration VBA senior leadership teams.
• Provide onsite and offsite product support and training for the IBM Jazz Rational Suite RRC, RTC, and RQM.
• Create and report analysis of metrics on VBMS development, requirement traceability, velocity and burn down
• Managed Action Items, Issues, Risks, and Assumptions
• Adeptus Solutions Project Manager

Confidential

• replacement scheduling application is to produce an enterprise-level outpatient scheduling application that manages patient appointment activities.
• Lead efforts that create and document software development specifications
• Lead JAD sessions to gather functional and nonfunctional software requirements that specify the
• qualitative aspects of the scheduling application such as flexibility, maintainability, portability, reusability, responsiveness, availability and performance
• Produce and maintain Business Requirements Definition and Requirement Analysis Documents.
• Scheduled tasks and manage projects using MS Project
• Managed action items such as, Issues, Risks, and Assumptions.
• Good knowledge of healthcare portal development, Software Development Life Cycle SDLC and project
• Expertise in Business Process Modeling BPM and business process re-design.
• Organized Joint Application Developments JAD sessions and Joint Requirement Planning sessions JRP , walkthrough, Interviews, Workshops and Rapid Application Development RAD sessions with end-user/clients/stake holders and the IT group.
• Design and review of various documents including the Software Requirement Specifications SRS , including Use Cases, business requirements document BRD , Use Case Specifications, Functional Specifications FSD , Systems Design Specification SDS , Requirement Traceability Matrix RTM , RACI charts, rules management and testing documents.
• Proficient in creating Risk analysis documents, Risk Management Plan, User Requirement Specification, Functional Requirement Specification and business Process Flows.
• Proficient in using UML in behavioral, structural and architectural modeling - in creating Use Case, State, Activity, Class and Sequence diagrams using Rational Rose.
• Experience in development methodologies like RUP, SDLC, AGILE, SCRUM and Waterfall.
• Extensive experience in configuring data mapping between different Databases and Content Management Tools.
• Gathering requirements based on user experience and User Interface Design GUI .
• Strong communication, problem solving, organizational, interpersonal, and presentation skills.

EDS Project Manager

Confidential

• Project Manager for the Centers for Medicare and Medicaid Services CMS One PI portal team. The One PI Portal integrates Medicare data for various states and provides a single site of cross data analysis.
• Project Manager for the Healthcare Portal Member and Administrative Services - portal for the States of Kansas and Oklahoma. The Healthcare Portal team develops web portal business front end systems for government and commercial insurance providers. Work with remote clients to identify functional requirements for website portals creating BRD, Test documents, User cases and requirements.
• Manage a team of over 40 employees in their day-to-day task
• Extensive knowledge and experience in creating UML Diagrams including, Use Case Diagrams, Activity Diagrams and Sequence Flow Diagrams, Requirements Traceability Matrix, etc.
• Create process and diagrams necessary to assist the requirements gathering process, business requirements documentation, change request management and software development lifecycle testing and implementation.
• Manage the quality control of documents created to improve program management such as Plan and Process Documents and Business Methodology Documentation specific to Medicare and Medicaid Benefits addressing areas of potential fraud waste and abuse
• Mentor a team of onsite and off-site employees with locations around the United States
• Assign and monitor work assignment to multiple team members on multiple projects
• Present quarterly demonstrations, onsite support, and training to CMS Clients and Senior Leadership of project performance, milestone and deliverable schedule
• Good knowledge of SQL queries and data analysis
• Conduct national analysis of the combined Medicare and Medicaid data Part A, Part B, DME, and Pharmacy using Business Objects XI
• Managed Action Items, Issues, Risks, and Assumptions
• Produced the following documents: Plan and Process Documents, Vision Documents, Functional Design Documents, Functional Manual, Test Scripts, Requirements Management Plan, BRD Business Requirements Document for the software development life cycle SDLC , Risk Management Plan, Integration Management Plan, Change Management Plan
• Good knowledge of claims processing
• Good knowledge of healthcare portal development

EDS - Project Manager

• Management Release 1.0 and Consumer Industry and Development 1.0 assets including the Process Models, Process Sequence Flows and other framework assets using CaseWise Corporate Modeler following BPM and UML Standards. Responsibilities include:
• Creating frameworks assets using facilitated information gathering sessions with global industry Subject Matter Experts and the EIF Human Resource Management Lead and the Consumer Industry and Retail Management Lead
• Conducting reviews of assets
• Manage tasks using MS Project, assign monitor resources in day-to-day task
• Prepare Use Case Models based on Business Requirements documentation gathered through interaction with users. Studied existing business application and processes, collected end user requirements and suggested the improvised Business Process Model.
• Prepare business process flows, Integrate process flow diagrams to show one end-to-end business model and process mapping exercise including swim lanes.
• Facilitated Joint Requirement Planning JRP sessions with subject matter expert SME in data mapping and business process flows, particularly with a proven ability to guide organization through the stages of change, from process design to training and implementation.
• Conducted brainstorming sessions with the technical team.
• Good knowledge and experience working on Statement of Work by creating SOW approach plan, managing SOW activities, completing deliverables and closing SOW.
• Performed GAP analysis of client requirements generated Workflow Process, flow charts and relevant artifacts.
• Assisting business users in defining UAT test cases and plans Established and maintained test cases and test data in Quality Center.
• Participating in QA team meeting and bug tracking meetings.

EDS - Project Manager

Confidential

• MyHealtheVet is portal developed using the BAE WebLogic platform. My HealtheVet is a gateway to veteran health benefits and services. Responsibilities included:
• Worked with the VA to identify functional requirements for web portal development which uses HL7 messaging for electronic data interchange between VistA, Master Patient Index MPI and the My HealtheVet portal
• Produced HTML screen prototypes using Dreamweaver
• Scheduled tasks and manage projects using MS Project
• Managed Action Items, Issues, Risks, and Assumptions
• Produced the following documents: Vision Documents, Functional Design Documents, Functional Manual, Test Scripts, Requirements Document, and MHV Help Desk Standard Operating Procedure Document, Risk Management Plan, Test Plan and Test Scripts, Configuration Management Plan, Change Management Plan, Requirements Management Plan, Plan and Process Documentation
• Create testing plan Dev, QA, UAT, IV/V, etc and walkthroughs with client, developers and third-party contracting agencies
• Worked with configuration and production team to schedule product implementations in various environments and manage post-implementation task
• Participated in writing new business proposal for the United States Government Services USGS team, leading to new business at the Veterans Affairs Business and Centers for Medicare and Medicaid Services
• Mentored team members in a Subject Matter Expert role

Confidential

Senior Business Analyst for CareFirst BlueCross BlueShield Enrollment and Billing Department in Washington, DC, responsible for facilitating impact analysis during User Acceptance Testing UAT .

• Wrote test scripts for the enrollment, claims processing, eligibility, workflow process software
• Conducted testing and analysis on the Pega System software
• Gathered business requirements. Interacted with the End users, Designers and Developers, Project Manager to get a better understanding of the business Processes
• Assisted project managers with the development of project schedules and manage scope using MS Project and Excel
• Responsible for creating UML modeling plans, Use cases, process flows, Wire Frames and business requirements documentation
• Analyze and model the system using Data flow Diagrams, Functional Diagrams, use case diagrams and Process Diagrams
• Develop risk assessments, generate recommendations for process improvements, prepare written reports, and written/oral presentations
• Analyze business requirements from user interviews and then convert requirements into Technical specifications

Confidential

• Perform data extraction using Business Objects for OCONUS and CONUS operations
• Senior Data Analyst for the Department of Defense Office of TRICARE Regional Office North TRO-North , Business Operations Office. Performs Data analysis and data mining using SAS to recommend decision alternatives that affect the business practices of the Military Health Services MHS operations.
• Performs analytical reviews, special analyses studies, predictive modeling for TRICARE enrollment, access to care, utilization patterns, claims processing, encounter, reimbursement rates and patient's healthcare demographics
• Participate in the strategic planning for TRO-North start-up business plan and strategic business plan
• Use SAS and Business Objects to analyze and interpret data, maintain and deliver healthcare reports, summarizes database performance using summary statistical procedures, develops and analyzes operational performance reports e.g., for claims data, provider data, utilization data and provides notations of performance deviations and anomalies, creates and publishes periodic reports, as well as any necessary ad hoc reports

Confidential

Project Manager

for STI supervised a staff of 6 senior analysts, contributes to weekly progress reports, manages administrative workflow, schedule business priorities based on client and congressional mandates. Managed the hiring and termination of new staff, complete quarterly employee evaluations. Increased new business from 2.3 million dollars to 3.2 million dollars.

Confidential

Senior Researcher

• supported the Department of Defense Office of TRICARE Management Activity TMA Health Program Analysis and Evaluation, HPA E in all aspect of quantitative healthcare data analysis and data mining, data modeling, demographic data using SAS, SPSS and Business Objects.
• Works with statistical data sets to respond to a business development needs for the Department of Defense, congressional mandates, research studies and ad hoc data analysis, including TRICARE Claims processing, encounters
• Support HIPAA Privacy Office in request for rights to access patient health identifiers PHI , audit users of databases
• Create HIPAA risk analysis reports associated with electronic medical information, healthcare enrollment, healthcare utilization and claims processing
• Use SAS and Business Objects to analyze and interpret data, maintain and deliver healthcare reports, summarizes database performance using summary statistical procedures, develops and analyzes operational performance reports e.g., for claims data, provider data, utilization data and provides notations of performance deviations and anomalies, creates and publishes periodic reports, as well as any necessary ad hoc reports

Confidential

• Develop and direct survey base research leading to best practice standards, resource utilization, and outcome measures. Contributed to weekly project reports, manage administrative workflow, schedule priorities and chair quality improvement data workgroups.
• Perform data queries for utilization rates, claims processing, create data set, and develop reports procedures, and standards
• Set educational standards and goals for national educational audio conferences
• Increase participation and revenue of the education department
• Served as the research and education manager for the, Compendium of Pediatric Palliative Care comprehensive reference on pediatric palliative care
• Presented research findings at national conferences
• Provide training to hospices nationwide on best performance and quality improvement standards
• Supervise a staff of 4 contribute to weekly project reports manage administrative workflow, schedule priorities and chair quality improvement data workgroups